On August 15, 2011, the PA Department of Public Welfare (DPW) issued a bulletin requiring all Medicaid providers to do monthly exclusion checks against at least three different databases, the DPW’s Medicheck List, the Office of Inspector General (U.S. Department of Health & Human Services) List of Excluded Individuals and Entities (LEIE), and the Excluded Parties List System (EPLS) which was later replaced by the federal government’s System for Award Management (SAM).
To avoid liability and potential penalties, districts must routinely check these databases to ensure that new hires and current employees are not on any of the excluded lists. The WIU FraudCheck app was designed to simplify and automate these mandated fraud exclusion checks. Data from all three of the previously mentioned sources is obtained on a nightly basis and is consolidated into one easy-to-search database. To further simply the process and ensure you are always in compliance with these guidelines, you can enter a list of your employees and the e-Services Fraud Check app will alert you via email if any potential violations are discovered.
The application features advanced searching capabilities including searching of aliases, maiden names, and nicknames. The embedded import wizard also greatly simplifies entering employees into the application and will accept files from just about any source. Since scanning is fully automated and done on a nightly basis, you need only maintain an updated employee list and the system will do the rest. If you would like to view the results of any of the automated scans, you can generate a detailed report at any time. Otherwise, you only need to verify potential matches if you receive an email alert. When an alert is received, you can either perform the verification yourself, or if you prefer, we can do the verification for you (at an additional cost).
$500.00 Annual Fee
$100.00 One-time start-up fee
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*Demo Access is available*